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SANNIU LIU-LEZAMA PMHNP-BC
NPI 1194076703
Nurse Practitioner - Psychiatric/Mental Health in Elmhurst, NY

Active since September 21, 2012PECOS Enrolled
7901 BROADWAY, ELMHURST, NY 11373(718) 334-4000 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2024, Apr 25, 2022, Sep 27, 2019 and 6 more (9 updates tracked since 2019).

About Sanniu Liu-lezama Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANNIU LIU-LEZAMA PMHNP-BC (NPI 1194076703) is an individual psychiatric/mental health provider in Elmhurst, New York, licensed in New York (402478) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194076703
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSANNIU LIU-LEZAMACredential: PMHNP-BC
Location Address7901 BROADWAYElmhurst, NY 11373-1329
Mailing AddressElmhurst Hospital, 79-01 BroadwayElmhurst, NY 11373-0000
Phone(718) 334-4000
Sole ProprietorNo
Enumeration DateSeptember 21, 2012
Last NPPES UpdateApril 30, 20249 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
✔ NPI 1194076703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402478
7901 BROADWAY, Elmhurst, NY 11373
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanniu Liu-lezama Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sanniu Liu-lezama reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York City Health And Hospitals Corporation
Same address
General Acute Care Hospital
79-01 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1063426377 (718) 334-4900
New York Neuromodulation Medical PLLC
5.6 mi
Psychiatry
235 W 76TH ST APT 1B
New York, NY 10023
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1558891135 (917) 969-3445

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PAUL ADRIAN POWELL P.A
Physician Assistant
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
RUDRA PRADEEP KOUL MD
Internal Medicine (Pulmonary Disease)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
CARLOS ANDRES PAREDES PONCE MD
Pediatrics
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-3050
JOSH KLEINMUNTZ LCSW
Social Worker (Clinical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-2650
AMELIA O'BRIEN LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (408) 838-0392
COLIN PAUL CARPENTER DO
Student in an Organized Health Care Education/Training Program
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
VANESSA GONZALEZ LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4630
SASHA AMEILIA KANDASAMMY
Physician Assistant (Surgical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (516) 849-2409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanniu Liu-lezama's NPI number?

The NPI number for Sanniu Liu-lezama is 1194076703. It was assigned to this individual provider in the NPPES registry on September 21, 2012.

Where is Sanniu Liu-lezama located?

Sanniu Liu-lezama practices at 7901 Broadway, Elmhurst, NY 11373. The listed phone number is (718) 334-4000.

What is Sanniu Liu-lezama's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sanniu Liu-lezama enrolled in Medicare?

Yes. Sanniu Liu-lezama is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sanniu Liu-lezama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanniu Liu-lezama reassigns Medicare benefits to 2 organizations: New York City Health And Hospitals Corporation (Elmhurst, NY) and New York Neuromodulation Medical PLLC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sanniu Liu-lezama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sanniu Liu-lezama was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.